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COMPLIANCE INFO_2019
EnvironmentalHealth
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PR0545133
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COMPLIANCE INFO_2019
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Last modified
4/20/2020 2:26:30 PM
Creation date
4/20/2020 2:26:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0545133
PE
1634
FACILITY_ID
FA0019238
FACILITY_NAME
NO HAY 2 #18086S2
STREET_NUMBER
731
Direction
S
STREET_NAME
SACRAMENTO
STREET_TYPE
ST
City
LODI
Zip
95240
APN
04524011
CURRENT_STATUS
01
SITE_LOCATION
731 S SACRAMENTO ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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San Joaquin County <br />Environmental Health Department <br />1868 East HazeIton Avenue, Stockton, CA95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />Mobile Food Facility Service Request Inspection Report <br />Facility Name and Address: NO HAY DOS #18086S2, 731 S SACRAMENTO ST, LODI 95240 <br />OBSERVATIONS <br />Name on Food Safety Certificate: Jesus Rauelo Expiration Date: October 19, 2024 <br /> <br />Warewash Chlorine (CI): ppm Heat: ° F Water/Hot Water Ware Sink Temp ° F <br /> <br />Quaternary Ammonia (QA): PPm Hand Sink Temp ° F <br />FOOD ITEM -- LOCATION -- TEMP ° F -- COMMENTS <br />food warmer -- 136.00° F <br />NOTES <br />6 <br />LIC 1808662 <br />VIN 1GBGC24KE261769 <br />Program 1634 Fee $107 <br />Ok to issue permit once commissary letter is brought in <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: Name and Title: Jesus Ravelo Manzo, owner <br />EH Specialist: MARIBEL FLOHRSCHUTZ Phone: (209) 953-7817 <br />FA0019238 SR0081539 SC061 12/18/2019 <br />Page 2 of 2 Mobile Food Facility Service Request Inspection Report EHD 16-23 Rev. 06/30/15
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